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Provenance http://www.selleckchem.com/products/prt062607-p505-15-hcl.html and peer review: Not commissioned; externally peer reviewed. Data sharing statement: Anonymised patient level data and the full data set are available by application with ethical approval from the Clinical Practice Research Datalink (http://cprd.com/).Low vegetable and fruit intake (VFI) has been linked to a number of chronic diseases, including type II diabetes,1 2 cardiovascular disease,3 4 and breast,5 6 oesophageal and colon cancers.7 8 Individual level determinants of VFI have been well established in the literature, where income and education are positively associated with VFI;9�C11 however, study results of the association between VFI and its potential environmental determinants are decidedly mixed. Research on the food environment has explored the impacts of food retailers on VFI (eg, supermarkets, fast food outlets, convenience stores). Studies have shown that living in proximity to supermarkets is associated with improved diet outcomes12�C19 and poor diet outcomes.20 21 Some studies also show no association between residential proximity to food vendors and VFI.22 23 Along with the inconsistent findings described above, the research is also characterised by a lack of consideration for the individuals�� duration Biperiden HCl of exposure to their neighbourhood context. By ignoring the temporal dimension of exposure, previous studies may have unintentionally introduced measurement bias because exposure duration may significantly differ between participants. There is a dearth of studies that have explored this problem using multilevel analyses of neighbourhood effects on individual health outcomes. Chum and O'Campo24 found that the use of time-weighted multilevel regressions to account for duration of exposure resulted in (1) improved strength of association, and (2) improved model fit in models for the association between neighbourhood-level factors (including ZSTK474 order road traffic, access to supermarkets and fast food restaurants) and cardiovascular disease risk compared to typical multilevel models that do not account for time spent in the residential neighbourhood. There is also evidence to suggest that time spent in the residential neighbourhood varies. According to the 2010 Canadian General Social Survey (CGSS) public use microdata,25 time spent at home differs significantly by age and income: analysis of variance shows that total minutes spent at home on a typical weekday differs significantly by age groups and income groups (p